| For office use: Transfer # |
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Belted Galloway Society, Inc. ... Mail two copies of completed form with proper fee to Laura Glassmann, Secretary, P.O. Box 316, Bendersville, PA 17306 Transfer within 30 days of sale $10, within 31-60 days $20, after 60 days or from non-member $40 |
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I (we) hereby authorize transfer of Registration/Recordation of the following Belted Galloway on the records of the Belted Galloway Society, Inc. | |
| Name of Animal | ||
| Registration/Recordation # | Sex (Male, Female, Steer) | |
| Date of Sale | Date of Application | |
| New Owner | Member # | |
| New Owner Address | ||
| Old Owner | Member # | |
| Old Owner Address | ||
| Signature of Transferor | ||
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| If above animal is female bred prior to date of sale, date of service and name and number of bull must be given below. If female was pasture exposed and exact date of service is unknown, the word 'PASTURE' may be entered instead of date. If not served, please insert 'NO' on next line. | ||
| Served (date) | By (bull) | Bull reg. # |
| Insemination was: __Natural __Artificial | Signature of Owner of Service Bull | |
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